Mental Health Nursing Skills – Activities Designed By An Occupational Therapist Can Augment The Skills Of The Psych Nurse

Of all, the skills of a psychiatric nurse are required and this specialist is usually more difficult to find.

Third, now this patient is frequently homebound questionable.

Second, the psychiatric patient is frequently more disorganized and needy than other patients causing the case management responsibilities to become time consuming and complex. With that said, many of us know that there is much depth of choice for intervention strategies, on the surface, psychiatric care appears to be very eclectic. Miller, and Parlocha may need to be evaluated as a clinician will evaluate a patient suffering from dementia or Alzheimer’s diseases That patient may have few or no physical limitations and yet my be deemed unsafe to leave his/her home unattended, even though psychiatric nurses may draw upon cr intervention techniques as noted by Duffy. What actually was unique about psychiatric home care?

Additionally, now this specialty clinician tends to work closely with the physician.

These regulations are largely non specific for the psychiatric patient, nonetheless psychiatric home care is bound by really similar CMS regulations that define other kinds of home types care.

So this means the clinician must be specific as to symptoms and needs while clearly documenting individualized plans and interventions depending on sound evidenced based processes. While working with patients diagnosed with bipolar disorders can be challenging in the home care setting, establishing trust and forming a meaningful alliance can add such quality to their life. Patients frequently need to better understand their condition, to learn the symptoms, to understand medications and identical interventions, and to understand risk mitigation strategies. Anyway, these feelings require a specialty RN to assist with evidenced based psychosocial treatments for the disorder that includes assisting the patient and family members to understand what the disorder is and how it can best be treated.

Patient may express anxiety, agitation, lack of concentration, and feelings of worthlessness and hopelessness. Accordingly the nurse will assist the patient to deal with depression using strategies involving physical and emotional symptomatology that can enhance their ability to adequately function. I know that the clinician will build relationships established on trust, caring, compassion, empathy, education, and hopefulness. Anyway, the RN will use verbal and nonverbal communication techniques to convey interest in the patient, to assess what the patient wants to accomplish, to assist with care planning and goal achievement, and to clarify the boundaries of the relationship, and by the way to affirm the patient has value and worth. Forming linkages between the patient and needed community services is a vital component of the role of the psychiatric home care nurse.

While reinforcing or assisting to rebuild worth and dignity, the clinician can assist the patient to cope with behaviors and approaches patients with an attitude of respect.

This nursing type brings an existential/spiritual concern and dimension to patient care.

Now look, the clinician frequently provides support to a patient with low self esteem and a belief that the community has prejudged them.a typical conditions causing an early death include heart and respiratory disease, stroke, and diabetes. Patients with Bipolar Disorder and Depression lose 25 life years expectancy when compared to persons without a diagnosed mental illness, as pointed out by the Department of Health and Human Services. Psychiatric nurse can provide preventive health information that might be needed in areas of self esteem so the patient may see value and purpose for adequate nutrition, weight, exercise, sleep, work, and relaxation. Write nationwide, proportionately fewer home health agencies actually provide this service, cMS has recognized psychiatric home care as a reimbursable service since 1979.

Actually the exact number of agencies that include psychiatric home care is unknown. There was a reluctance of agencies to implement psych programs and So there’re many reasons for these decisions. With that said, this short term program frequently focuses on improved ‘problemsolving’, stronger ego boundaries, and enhanced self concept. So need is seen often with elder patients who are suffering significant losses in lifespan, so it is important with patients of all ages. Now look, the psychiatric nursing home care plan must be intermittent. Psychiatric patient with a substance abuse problem intensifies their healthcare risk status. It is riser and Thompson in their study identified the high risk of both suicide and substance abuse for these patients. Empathetic alliance with the patient and family can assist them to see the negative link between substance abuse and they and their family’s quality of life. Know that suicide risk is greater when So there’re mixed states of anxiety and agitation or when the patient mixes drugs and alcohol.

Each home health clinician must screen for these areas of concern when visiting, because of the high risk.

Be prepared for transportation needs for further health care evaluation needs if suicidal behavior or ideations become apparent.

Be certain the family support system is taught all signs and symptoms and has the plan in place if of needs. Even if he does not have any physical limitations, cMS Publication ‘100 2’. §430 dot 1, states that a patient with a psychiatric problem can be considered homebound if the illness … is of this type of a nature that it will not be considered safe to leave home unattended. May not manifest itself with physical symptoms or behaviors, homebound status for a patient suffering from a mental health issue might be just as painful and debilitating. Any patient in a certified home health program may leave their home for specific reasons, as identified in Chapter 7 of the Medicare Provider Benefits Manual. Because there may not be physical impairments, the homebound status of patients with psychiatric needs require well written, clearly stated clinical visit notes, and homebound status must be clearly delineated.